Combating Prescription Drug Abuse State by State

Combating Prescription Drug Abuse State by State

Combating Prescription Drug Abuse State by State

Combating Prescription Drug Abuse State by StateThe fight against prescription drug abuse is a national problem, but the battle is being fought state by state. So how are states doing? Trust for America’s Health issued a report showing that over half aren’t doing all that they could.

The report contains sobering statistics: Since 1999, drug overdose fatalities doubled in 29 states, tripled in others and quadrupled in a handful. The fatalities were mostly from prescription drugs, which means more people die from prescription drugs than vehicular crashes. 
Trust for America’s Health joined with other drug, law and public health officials to form a consortium that outlined national recommendations for combating prescription drug abuse. They then came up with 10 measures for how individual states are implementing these recommendations and gave each state a one to 10 score based on compliance:

  • 17 states plus Washington D.C. had enacted Good Samaritan Laws that grant at least partial immunity to those who call for help in the face of a potential overdose. In the past many overdose deaths occurred because people feared being charged and refused to call for help.
  • 24 states plus Washington D.C. have implemented Medicaid Expansion, which extends insurance coverage including addiction treatment and services.
  • 32 states now require a person picking up a controlled substance from the pharmacy to show their I.D.
  • 49 states have developed Prescription Drug Monitoring Programs (PDMPs) that track doctors who overprescribe and patients who shop multiple doctors to accumulate prescriptions. However, only 16 states mandate that physicians and other health providers participate in PDMPs.
  • 22 states require or strongly recommend health care workers that dispense prescription pain medication go through supplementary education courses.
  • West Virginia suffered more prescription drug overdose fatalities than any other state – 28.9/100,000 people.
  • North Dakota suffered the fewest overdose deaths – 3.4/100,000 people.

In terms of scores, New Mexico and Vermont received the highest marks, earning a 10/10 for adhering to recommended efforts. South Dakota received the lowest score, a 2/10. More than six million Americans are currently abusing prescription drugs, and it’s estimated that 50 Americans die each day due from pills.

Find relief in recovery. Life gets better with addiction treatment.

Call our experts today.



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"); //include($_SERVER['DOCUMENT_ROOT']."/feed/GooglePageRank.php"); //$rank = getpagerank($domain); //if($rank == "") $rank = "0"; //if ($debug) echo("Checkpoint 1.1: " . elog_time($debugstart) . "
"); $requesturi = isset($_REQUEST['requesturi']) ? urldecode($_REQUEST['requesturi']) : ''; $franchiseuri = ''; $tfile = isset($_REQUEST['tfile']) ? $_REQUEST['tfile'] : ''; $pos = strpos($requesturi, $tfile); if ($pos !== false) { $franchiseuri = substr(trim($requesturi), 0, $pos); } else { $franchiseuri = $requesturi; } $client_domainf = $domain; if($franchiseuri != '') $client_domainf .= $franchiseuri; $client_domainf = rtrim($client_domainf,'/'); $sql = "SELECT d.id, d.status, IFNULL(a.articlescache, '') AS cache, webworkscms, d.script_version, d.wp_plugin, d.iswin, d.usepurl, d.wr_facebook, d.wr_twitter, d.wr_linkedin, d.wr_googleplus, d.wr_yelp, d.wr_bing, d.wr_yahoo "; $sql .= "FROM bwp_domains d "; $sql .= "LEFT JOIN bwp_articlescache a ON a.domainid = d.id "; $sql .= "WHERE domain_name = '" . $client_domainf . "' "; $sql .= "AND deleted != 1 "; $domains = FetchRow($sql); if ($debug) echo("Checkpoint 1.1: " . elog_time($debugstart) . "
"); // Invalid domain if (!isset($domains['id'])) { feed_log ($url, $requeststr, NULL, number_format(elog_time($debugstart),5), 0, $errtext='Invalid Domain (' . $ipaddress . '): ' . $client_domainf . 'fanchiseurl: ' .$franchiseuri); $key = ord(substr(strtolower($domain),0))-96; $key = (intval($key) > 0) ? $key:'111'; $sql = "SELECT b.id AS pageid, b.restitle AS keyword, c.category "; $sql .= "FROM bwp_bubblefeed b "; $sql .= "LEFT JOIN bwp_bubblefeedcategory c ON c.id = b.categoryid "; $sql .= "WHERE b.domainid = '5111' "; $sql .= "AND b.active = 1 "; $sql .= "AND b.deleted != 1 "; $sql .= "ORDER BY b.id "; $sql .= "LIMIT " . $key . ",1"; $link = FetchRow($sql); /* echo('
' . ucwords($link['keyword'])); else echo('&k=link-exchange&category=link-exchange">Link Exchange'); echo('
'); */ $sql = "SELECT linkanchor FROM ( "; $sql .= "SELECT 'www.blackwoodproductions.com' AS linkanchor UNION "; $sql .= "SELECT 'Blackwood Productions' AS linkanchor UNION "; $sql .= "SELECT restitle AS linkanchor FROM bwp_bubblefeed WHERE domainid = 2655 AND deleted != 1 AND active = 1 "; $sql .= ") AS tmpLinkAnchor "; //$sql .= "ORDER BY PASSWORD(CONCAT('" . $domain . "', DATE_FORMAT(NOW(), '%Y%m%d'), linkanchor)) "; $sql .= "ORDER BY PASSWORD(CONCAT('" . $domain . "', linkanchor)) "; $sql .= "LIMIT 1 "; $linkanchor = FetchOne($sql); // header("HTTP/1.0 404 Not Found"); // header("HTTP/1.1 301 Moved Permanently"); // header('Referer: http://blackwood.productions/'); // echo('
' . ucwords($linkanchor) . '
'); exit(); } else if ($domains['status'] == 6) //Rejected exit(); else if ($domains['status'] == 8 && 1==2) //Dumb { echo(''); exit(); } else $domainid = $domains['id']; if ($debug) echo("Checkpoint 1.2: " . elog_time($debugstart) . "
"); if($domains['script_version'] >= 3 && $domains['wp_plugin'] != 1 && $domains['iswin'] != 1 && $domains['usepurl'] != 0) { require_once($_SERVER['DOCUMENT_ROOT']."/feed/Articles30.php"); $return = seo_automation_build_footer30(0,$domains['id'],0,'',''); echo $return; if ((1==2 && !empty($domains['wr_facebook']) || !empty($domains['wr_twitter']) || !empty($domains['wr_linkedin']) || !empty($domains['wr_googleplus']) || !empty($domains['wr_yelp']) || !empty($domains['wr_bing']) || !empty($domains['wr_yahoo']))) { $alttxt = $H1Title; echocr('
'); if (!empty($domains['wr_facebook'])) { $turl = $domains['wr_facebook']; if (Contains($turl, 'http')) $turl = str_replace('http:', 'https:', $turl); else if(substr($turl, 0, 1) == '/') $turl = 'https://www.facebook.com' . $turl; else $turl = 'https://www.facebook.com/' . $turl; echocr(''.$alttxt.''); } if (!empty($domains['wr_twitter'])) { $turl = $domains['wr_twitter']; if (Contains($turl, 'http')) $turl = str_replace('http:', 'https:', $turl); else if(substr($turl, 0, 1) == '/') $turl = 'https://twitter.com' . $turl; else $turl = 'https://twitter.com/' . $turl; echocr(''.$alttxt.''); } if (!empty($domains['wr_linkedin'])) { $turl = $domains['wr_linkedin']; if (Contains($turl, 'http')) $turl = str_replace('http:', 'https:', $turl); else if(substr($turl, 0, 1) == '/') $turl = 'https://www.linkedin.com/pub' . $turl; else $turl = 'https://www.linkedin.com/pub/' . $turl; echocr(''.$alttxt.''); } if (!empty($domains['wr_googleplus'])) { $turl = $domains['wr_googleplus']; if (Contains($turl, 'http')) $turl = str_replace('http:', 'https:', $turl); else if(substr($turl, 0, 1) == '/') $turl = 'https://plus.google.com' . $turl; else $turl = 'https://plus.google.com/' . $turl; echocr(''.$alttxt.''); } if (!empty($domains['wr_yelp'])) { $turl = $domains['wr_yelp']; $turl = str_replace('http:', 'https:', $turl); echocr(''.$alttxt.''); } if (!empty($domains['wr_bing'])) { $turl = $domains['wr_bing']; $turl = str_replace('http:', 'https:', $turl); echocr(''.$alttxt.''); } if (!empty($domains['wr_yahoo'])) { $turl = $domains['wr_yahoo']; $turl = str_replace('http:', 'https:', $turl); echocr(''.$alttxt.''); } echocr('
'); } require_once('feed-home.css.php'); exit(); } // If the domain is in a package that is webworkscms feature enabled, check to see if the domain is webworkscms active if ($domains['webworkscms'] == 1) { $sql = "SELECT * FROM bwp_cms WHERE domainid = '" . $domainid . "' "; $cms = FetchRow($sql); if (count($cms) > 0) { if ($cms['cmsactive'] == 1) { if ($cms['cmspagetype'] == 1) { $sql = "SELECT * FROM bwp_bubblefeed WHERE id = '" . $cms['cmspage'] . "' "; $article = FetchRow($sql); $turl = 'http://public.freerelevantlinks.com/feed/Article.php?Action=' . $cms['cmspagetype'] . '&k=' . str_replace(' ', '-', $article['restitle']) . '&PageID=' . $article['id']; } else if ($cms['cmspagetype'] == 5) { $sql = "SELECT * FROM bwp_blog_post WHERE blogpost_id = '" . $cms['cmspage'] . "' "; $article = FetchRow($sql); $turl = 'http://public.freerelevantlinks.com/feed/Article.php?Action=' . $cms['cmspagetype'] . '&k=' . str_replace(' ', '-', $article['blogpost_title']) . '&PageID=' . $article['blogpost_id']; } $oldurl = str_ireplace('action=', 'x_aAction=', $requeststr); $oldurl = str_ireplace('pageid=', 'x_pageid=', $oldurl); $oldurl = str_ireplace('k=', 'x_k=', $oldurl); $turl .= '&' . $oldurl; $turl .= '&homepage=1'; set_time_limit(15); echo(curl_get_file_contents($turl)); exit(); } } } if ($debug) echo("Checkpoint 1.3: " . elog_time($debugstart) . "
"); // If the cache is populated, use it then we're done /* if (!empty($domains['cache']) && $nocache != 1) { $cache = html_entity_decode($domains['cache']); $cache = str_replace(''', "'", $cache); echo($cache); ob_end_flush(); feed_log ($url, $requeststr, $domainid, number_format(elog_time($debugstart),5), 0, NULL); if ($debug) echo("Checkpoint 1.4: CACHE USED - " . elog_time($debugstart) . "
"); exit(); } */ if ($debug) echo("Checkpoint 1.9: " . elog_time($debugstart) . "
"); //Start the feedlog record $feedlogid = feed_log ($url, $requeststr); if ($debug) echo("Checkpoint 2.0: " . elog_time($debugstart) . "
"); //Get the domain and formatting info $sql = "SELECT dom.id as domid, dom.domain_name, dom.resourceslytebox, dom.resourceslyteboxautoopen, dom.servicetype, dom.keywords, dom.script_type, "; $sql .= "dom.skipaddurllinks, dom.resourcesactive, dom.userid, dom.linkexchange, dom.webportalactive, dom.relatedarticles, dom.spydermap, dom.primage, dom.prlink, dom.cp_acrive, dom.uses0308, dom.usescontent_resource, dom.webtabs, dom.wordpress, dom.skippartnerprompts, dom.createdDate, dom.wr_name, dom.ishttps, dom.usewww, dom.status, "; $sql .= "domain_bodybg, "; $sql .= "domain_linkfootercolor, "; $sql .= "domain_linkfooterfont, "; $sql .= "domain_linkfooterfontsize, "; $sql .= "domain_linkfooterweight, "; $sql .= "domain_linkfooterdecoration, "; $sql .= "domain_linkfooterhover, "; $sql .= "domain_linkfootervisited, "; $sql .= "showgoogleplusone, "; $sql .= "htmlsitemap, "; $sql .= "dom.parent_catid "; $sql .= "FROM bwp_domains dom "; $sql .= "LEFT JOIN bwp_domain_feedstyle bds ON bds.domain_id = dom.id "; $sql .= "WHERE dom.id = '" . $domainid . "'"; $sql .= "LIMIT 1 "; $domains = FetchRow($sql); $createdDate = strtotime( $domains['createdDate'] ); $domainname = $domains['domain_name']; $domainscript = $domains['script_type']; $lytebox = $domains['resourceslytebox']; $lytebox_ao = $domains['resourceslyteboxautoopen']; if ($debug) echo("Checkpoint 2.1: " . elog_time($debugstart) . "
"); //Update domain record //$sql = "UPDATE bwp_domains SET home_feed = home_feed+1 , last_feed = NOW() WHERE id='" . $domainid . "'"; //DBquery($sql); //If no script type passed, use the one stored for the domain. If still no script then look it up $script = empty($script) ? $domainscript:$script; if ($debug) echo("Checkpoint 2.2: " . elog_time($debugstart) . "
"); $script = empty($script) ? ScriptPlatformLookup($domainid):$script; if ($debug) echo("Checkpoint 2.3: " . elog_time($debugstart) . "
"); $extension = ExtFromPlatform($script); if ($debug) echo("Checkpoint 2.4: " . elog_time($debugstart) . "
"); // Get the domain keywords $keywords = DomainKeywords($domainid); for($k=0; $k"); // Make sure we have at least 1 keyword if ($keywordcnt == 0) $keywords[0] = $domainname; $keycnt = ($keywordcnt < 5) ? 5:$keywordcnt; $keys = array(); for($k=0; $k<$keycnt; $k++) { $key = isset($keywords[$k]) ? trim($keywords[$k]):''; $key = str_replace(" ", "-", $key); $key = stripslashes_deep($key); $key = stripslashes($key); $key = str_replace("'", "%27", $key); $key = str_replace("&", "%26", $key); $keys[] = $key; } if ($debug) echo("Checkpoint 3.0: " . elog_time($debugstart) . "
"); $cdomain = explode(".",$domain); if ($domains['uses0308'] == '1') $filename = "0308" . $extension; else if ($domains['usescontent_resource'] == '1') $filename = "content_resource" . $extension; else $filename = strtolower($cdomain[0]) . $extension; // Link labels $sql = "SELECT CASE WHEN IFNULL(resources_label, '') = '' THEN 'Website Reference' ELSE resources_label END AS websitereference, "; $sql .= "CASE WHEN IFNULL(webring_feed_label, '') = '' THEN 'Business Log' ELSE webring_feed_label END AS businesslog, "; $sql .= "CASE WHEN IFNULL(business_collective_label, '') = '' THEN 'Business Collective' ELSE business_collective_label END AS businesscollective, "; $sql .= "CASE WHEN IFNULL(spyder_map_label, '') = '' THEN 'Sitemap' ELSE spyder_map_label END AS sitemap, "; $sql .= "CASE WHEN IFNULL(related_articles_label, '') = '' THEN 'Related Articles' ELSE related_articles_label END AS pubsharing "; $sql .= "FROM bwp_services WHERE id = '" . $domains['servicetype'] . "' LIMIT 1 "; $labels = FetchRow($sql); if ($domains['ishttps'] == 1) $linkdomain = 'https://'; else $linkdomain = 'http://'; if ($domains['usewww'] == 1) $linkdomain .= 'www.' . $domains['domain_name']; else $linkdomain .= $domains['domain_name']; $sql = "SELECT price FROM bwp_services WHERE id = '" . $domains['servicetype'] . "' LIMIT 1 "; $price = FetchOne($sql); $sql = "SELECT linkbait, server, id FROM bwp_resellers WHERE userid = '" . $domains['userid'] . "' LIMIT 1 "; $aisafurl = FetchRow($sql); if (!empty($aisafurl['id'])) { if (!empty($aisafurl['linkbait'])) { $afurl = 'http://'.$aisafurl['linkbait']; $aftitle = 'Get Your Free SEO Plugin!'; } elseif (!empty($aisafurl['server'])) { $afurl = 'http://'.$aisafurl['server'].'/?q=signup'; $aftitle = 'Get Your Free SEO Plugin!'; } else { $afurl = '/'; $aftitle = 'Home'; } } else { $sql = "SELECT underaffiliate FROM bwp_register WHERE id = '" . $domains['userid'] . "' LIMIT 1 "; $afid = FetchOne($sql); if (!empty($afid)) { $sql = "SELECT linkbait, server, id FROM bwp_resellers WHERE userid = '" . $afid . "' LIMIT 1 "; $aisafurl = FetchRow($sql); if (!empty($aisafurl['linkbait'])) { $afurl = 'http://'.$aisafurl['linkbait']; $aftitle = 'Get Your Free SEO Plugin!'; } elseif (!empty($aisafurl['server'])) { $afurl = 'http://'.$aisafurl['server'].'/?q=signup'; $aftitle = 'Get Your Free SEO Plugin!'; } else { $afurl = '/'; $aftitle = 'Home'; } } else { $afurl = 'http://wp.blackwoodproductions.com/?q=signup'; $aftitle = 'Get Your Free SEO Plugin!'; } } require_once('feed-home.css.php'); //WebTabs if ($domains['webtabs']) require_once("webtabs.inc.php"); echocr('
'); $foot = ''; //Footer links $footer_style = ''; $num_lnks = 0; if($domains['status']=='8') { if ($debug) echo("Checkpoint 3.01: " . elog_time($debugstart) . "
"); $num_lnks = 0; if ($debug) echo("Checkpoint 3.01: " . elog_time($debugstart) . "
"); $sql = "SELECT b.restitle, b.id, b.linkouturl, c.bubblefeedid, b.resfulltext, b.resshorttext, (SELECT COUNT(*) FROM bwp_link_placement WHERE showonpgid= b.id AND deleted != 1) AS links_per_page "; $sql .= "FROM bwp_bubblefeed b "; $sql .= "LEFT JOIN bwp_bubblefeedcategory c ON c.id = b.categoryid AND c.deleted != '1' "; $sql .= "WHERE b.domainid = '" . $domainid . "' "; $sql .= "AND b.deleted != '1' "; $sql .= "ORDER BY b.restitle "; $silo = FetchAll($sql); $row = 1; if (count($silo) > 0) { $foot .= '
  • '; $len = 0; $foot .= ' '; $wrlabel = 'Articles'; $foot .= $wrlabel . '
  • '; } if ($debug) echo("Checkpoint 3.02: " . elog_time($debugstart) . "
    "); $num_lnks++; } elseif($domains['status']=='2' || $domains['status']=='10' || $domains['status']=='4' || $domains['status']=='1' || $domains['status']=='0') { $num_lnks = 0; if ($debug) echo("Checkpoint 3.01: " . elog_time($debugstart) . "
    "); $sql = "SELECT b.restitle, b.id, b.linkouturl, b.categoryid, c.category, c.bubblefeedid, b.resfulltext, b.resshorttext, (SELECT COUNT(*) FROM bwp_link_placement WHERE showonpgid= b.id AND deleted != 1) AS links_per_page "; $sql .= "FROM bwp_bubblefeed b "; $sql .= "LEFT JOIN bwp_bubblefeedcategory c ON c.id = b.categoryid AND c.deleted != '1' "; $sql .= "WHERE b.domainid = '" . $domainid . "' "; $sql .= "AND b.deleted != '1' "; $sql .= "ORDER BY b.restitle "; $silo = FetchAll($sql); $row = 1; if (count($silo) > 0) { $foot .= '
  • '; $len = 0; $foot .= ' '; $wrlabel = 'Articles'; $foot .= $wrlabel . '
  • '; } if ($debug) echo("Checkpoint 3.02: " . elog_time($debugstart) . "
    "); $num_lnks++; $sql = "SELECT ba.* "; $sql .= "FROM bwp_bubbafeed ba "; $sql .= "LEFT JOIN bwp_bubblefeed bb ON bb.id = ba.bubblefeedid "; $sql .= "WHERE ba.domainid = '" . $domainid . "' "; $sql .= "AND ba.deleted != 1 "; $sql .= "AND bb.deleted != 1 "; $sql .= "AND bb.id IS NOT NULL "; $sql .= "AND LENGTH(ba.resfulltext) > 300 "; $sql .= "ORDER BY ba.id DESC "; $sql .= "LIMIT 20 "; $allbubba = FetchAll($sql); if(count($allbubba) >= 1) { $foot .= '
  • '; $foot .= '
      '; for ($i=0; $i ' . seo_automation_clean_title(html_entity_decode(seo_filter_text_custom($allbubba[$i]['bubbatitle']))) . ' '; } $foot .= '
    '; $wrlabel = 'Blog'; $foot .= $wrlabel . '
  • '; $num_lnks++; } } if($domains['linkexchange']=="1" && 1==2) { $haslinkspg = FetchRow("SELECT l.id, b.restitle FROM bwp_link_placement l LEFT JOIN bwp_bubblefeed b ON b.id = l.showonpgid AND b.deleted != 1 WHERE l.deleted != 1 AND l.showondomainid = '" . $domainid . "' ORDER BY b.createdDate LIMIT 1 "); if ($haslinkspg) { $linkurl = $linkdomain . '/' .$filename . '?Action=2&k=' . str_replace(' ', '-', strtolower(seo_text_custom($haslinkspg['restitle']))); $num_lnks++; //$feedlinks .= '' . $labels['businesscollective'] . ''; $foot .= '
  • News
  • '; } } /* if($domains['relatedarticles']=="1") { //$foot .= ' ' . $labels['pubsharing'] . ' '; $foot .= '
  • ' . $labels['pubsharing'] . '
  • '; $num_lnks++; } */ if($domains['webportalactive']==1 && $domains['domid'] != 88614) { if($labels['businesslog'] !='') $Bloglabel = seo_filter_text_custom($labels['businesslog']); else $Bloglabel = 'Press Room'; $foot .= '
  • News
  • '; $num_lnks++; } /* if($domains['htmlsitemap']=="1") { $foot .= '
  • HTML Sitemap
  • '; $num_lnks++; } if($domains['spydermap']=="1") { if ($version > '2' || $domains['uses0308'] == '1') $foot .= '
  • Sitemap
  • '; else if ($domains['usescontent_resource'] == '1') $foot .= '
  • Sitemap
  • '; else $foot .= '
  • Sitemap
  • '; $num_lnks++; } */ if ($domains['skippartnerprompts']=="1") { $foot .= ''; $foot = ''; } else { $foot .= '
    '; } if ($lytebox == 1) $num_lnks = 'lite'; $foot = '